Different Treatments for 29 Cases of Femoral Neck Fracture in Elder People_West China Medical Journal

Authors：

1Department of Orthopedics, Tranditional Chinese Medicine Hospital of Ziyang City, Ziyang Sichuan 641300; 2Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

股骨颈骨折; 骨折内固定; 空心螺钉; DHS; 人工关节置换

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的:总结空心螺钉、DHS或人工关节置换治疗股骨颈骨折的适应证及效果。方法:分别用空心螺钉、DHS固定和人工关节置换3种方法治疗获得随访的中老年股骨颈骨折29例。年龄51～85岁,平均68.3岁。空心螺钉组8例,DHS组15例,人工关节组6例。结果:随访29例,随访时间1～3年,平均2~3年。围手术期无1例死亡,无切口感染,无内固定断裂,无关节脱位。发生退钉2例,股骨头坏死1例。功能评定:优20例,良6例,差3例。结论:根据患者的年龄、经济状况、骨折部位、骨折分型合理地选择治疗方法,是减少并发症,提高治疗效果和老年人生活质量的关键。

Citation： WU Gang,TU Zhongqi,PEI Fuxing,et al. Different Treatments for 29 Cases of Femoral Neck Fracture in Elder People. West China Medical Journal, 2009, 24(8): 1969-1970. doi: Copy

1.	ROGMARK C, CARLSSON A, JOHNELL O, et al.A prospective randomizm trail of internal fixation versus arthroplasty for displaced fractures of the neck of the fenur,functional outcome for 450 patients at two years[J]. J Bone Joint Surg,2003,85(3):464.
2.	LIDENUK J S, SVENSSON O. Intrnal fixation compared with total hip replacement fer displaced feme ral neck fractures in the ederly,amandomised,controlled trial[J].J Bone Joint Surg,2003,85(3):380.
3.	姚矢强,王黎明.人工髋关节置换手术治疗高龄股骨颈骨折临床研究[J].中国骨与关节损伤杂志,2007,10(10):810.
4.	胡孔足,卜海富.空心螺纹钉治疗股骨颈骨折的滑动加压原理[J].临床骨科杂志,2004,7(4):370-372.
5.	皮安平,丁清和,杨冰,等.三枚空心钉内固定微创治疗老年股骨颈骨折[J].中华创伤骨科杂志,2004,6(12):1417-1418.
6.	戴克戎,董凡,王以友.人工股骨头置换治疗股骨颈新鲜骨折的临床评价[J].中华骨科杂志,1995,15(3):133.

1. ROGMARK C, CARLSSON A, JOHNELL O, et al.A prospective randomizm trail of internal fixation versus arthroplasty for displaced fractures of the neck of the fenur,functional outcome for 450 patients at two years[J]. J Bone Joint Surg,2003,85(3):464.
2. LIDENUK J S, SVENSSON O. Intrnal fixation compared with total hip replacement fer displaced feme ral neck fractures in the ederly,amandomised,controlled trial[J].J Bone Joint Surg,2003,85(3):380.
3. 姚矢强,王黎明.人工髋关节置换手术治疗高龄股骨颈骨折临床研究[J].中国骨与关节损伤杂志,2007,10(10):810.
4. 胡孔足,卜海富.空心螺纹钉治疗股骨颈骨折的滑动加压原理[J].临床骨科杂志,2004,7(4):370-372.
5. 皮安平,丁清和,杨冰,等.三枚空心钉内固定微创治疗老年股骨颈骨折[J].中华创伤骨科杂志,2004,6(12):1417-1418.
6. 戴克戎,董凡,王以友.人工股骨头置换治疗股骨颈新鲜骨折的临床评价[J].中华骨科杂志,1995,15(3):133.

West China Medical Journal

Different Treatments for 29 Cases of Femoral Neck Fracture in Elder People

Abstract Full text Figures/Tables Video References Cited by

Format

Content